Ultrasound Guided Axillary Nerve Block Compared to Hematoma Block in Patients With Closed Reposition of Distal Forearm Fractures
Distal Radius Fracture, Forearm Fracture
About this trial
This is an interventional treatment trial for Distal Radius Fracture
Eligibility Criteria
Inclusion Criteria: Patients in the ED with a X-ray confirmed dislocated distal forearm fracture, defined as fracture < 3cm within the radiocarpal joint with an abnormal anatomic position (dorsal angulation >10°, volar angulation >20°, radioulnar inclination <15°, >5mm radial collapse or intra-articular incongruence >2mm. ≥ 16 years of age Patients who have adequate knowledge and understanding of the Dutch language Exclusion Criteria: 'Open' fractures requiring surgery Multi-trauma patients Abnormal neurovascular examination requiring immediate reposition or surgery Pre-existent osteosynthesis material in situ on the present fracture site. Skin injury, local infection or recent burns hindering the use of ultrasound. Allergy for local anaesthetics Inability to give informed consent (cognitive impairments, no good understanding of the Dutch or English language) Severe coagulopathy (i.e. severe thrombocytopenia, haemophilia.). Usage of anticoagulation is not an contra-indication, since any bleeding complication has few adverse consequences(20). High risk on compartment syndrome (in consultation with surgery department).
Sites / Locations
- Medisch centrum LeeuwardenRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Intervention group
Control group
The intervention group will receive an axillary plexus nerve block as pain reduction before the fracture repositioning.
The control group will receive a fracture hematoma block as pain reduction before the fracture repositioning.